HomeMy WebLinkAboutCFR - 10.26.2013 - BrainardTexas Ethics Commission RO, Box 12070 Austin Texas 78711-2070 (512) 463-5800 JDD 1-800,-735-2989)
CANDIDATEOLDER FORM C
CAMPAIGN FINANCE REPORT COVER SHEET PG
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CANDIDATE
NAME
t N`1GKNA sAE LAST SUFFIX.
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OCT 2 2010
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Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE l OFFICEHOLDER REPORT: FORSC/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME
15 ACCOUNT## (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICALCONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL
CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY NAY€ BEEN MADE wimour THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR
COMMITTEE (S)
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED°��
2. TOTAL POLITICAL CONTRIBUTIONS
$✓j
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and corpect and i 9011,es 11 information required to be reported by
PQY PG@ ERIN BRETTLE me under Tate 15, Election C e.
•' .JESSICA
;'�
z°d' NOTARY PUBLIC j t
*' -to: r State of Texas i ?
' g''• ....•. Q
41-2015 '�6,7/
` tl' Ali
°� of �'` Comm. Exp. 46
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
����.i
Sworn to and subscribedi before me, by the said I ��i �.f this the
..�
rrr{'j 20 to hand
day
_ ofi certify which, witness my and seal of office.
I
nate a of officer ministering oath Printed name of officer administering Oath T1 f officer administ 'ng ath
Sia
www. -. i s.state.tx.us Revised 04/19/2013
h
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
I Total pages Schedule A:
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
4 Date
5 Full name of contributor out-of-state PAC (10#-
Joe�'
7 Amount of 8 lrkind contribution
contribution description (if applicable)
Contributor address; City; State- Zip Code
(if travel outside of Texas, complete Schedule T)
9 Principal occupation / Job title (gee Instructions)
10 Employer (See Instructions)
Date
Full name of contributor [I out-of-state PAC (lDk.
A�Iqel 41e
Amountof In-kind contribution
contribution description (if applicable)
. . . . . . . . . .
w
ltributo� City; State; Zip Code
If travel outside of Texas, complete Schedule T)
Principe!
I Jr,!, title �Fe-
Date
��name,, ut-ftatePCo��iI
,(_ r5l'4e . . .
— - ---------
contribution description (if applicable)
--!o
'
edqe�twwl
T)
DateFull
name of conT ibt! ilif t
v.
OW"
L71
. . . . . . . . . . . . . .
Contributor address; City; State; Zip Code
elo_611A�l
if travel outside 01 .—as, complete Schedule
Principal occitptitin lJoh 41- f!c-' Jf,!ctions)
Date Full name of contributor Wt -of -State PAC (IDAV. I Arriountof 1 In-kind contribution
contribution description (if applicable)
If contributor is out-of-state PAC, please see instruction qvi6p if)rafi
Reviseu u4i i uizul 3
Texas Ethics Commission pO.Box 12D7o Austin, Texas 78711-2U7O (512)463-5800 (TOD1-8OO-T35-2S89
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
I Total pages Schedule A:
2 FILER NAME i(
3 ACCOUNT # (Ethics Commission Filers)
4 Date
5 Full name of contributor out-of-state PAC(IDAV.
7 Amountof 8 In-kind contribution
contribution description (if applicable)
2 lo
-6' C'o*nt'ribut'or'ad'd'ress'; City; State; Zip Code. . .
(if travel outside of Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions)
10 Employer (See Instructions)
Date
F 11
-nu nv,,,me of contributor E] out-of-state PAC (Jolt..
Amount of In-kind ontribution
contribution description (if applicable)
�or address; City; State; Zip Cod
X'
L
(if travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor El out-of-state PAC (loft.
�iZ
Amount of In-ki.d contribution
contribution description (if applicable)
Cont utoraddress; City; State; Zip Code
(if travel --de .1 1—as, complete Schedule T)
Principal occupation / Job fitle (See Instructions)
Employer (See Instructions)
Date
Full name of contributor El out-of-state PAC
46'
Amount of In-kind contribution
contribution description (if applicable)
.
Contributor address; C'ity; S tate'; 'Zip 'Code* . . . .
(if trave, o—de 1—as, complete Schedule T)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
u r u,
Full name of co t 'b t -of-state PAC (ID#:
Amount of In-kind contribution
,)n
contribution description (if applicable)
Contributor address; . . . Ci' S'tate'; 'Zip Code. . .
X
(if traVel oUtSi— 01 —S, compete Schedule T)
Principal occur iation / JoI6 title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www. ethics. state.tx. us Revised G4/19/2013
Texas Ethics Commission P.O.Box 12O7O Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
I Total pages Schedule A:
2 FILER NAME 1-2
3 ACCOUNT # (Ethics Commission Filers)
4 Date
5 Full name of contributor 0 out-of-state PAC(IM.
7 Amount of 8 In-kind contribution
ix
contribution description (if applicable)
n"u Zip C de
6 Co toraddress.—C-ity; Ste
(if travel outside of Texas, complete Schedule T)
9 Principal occupation Job ke (See Instructions)
10 Employer (See Instructions)
Date
Full name of contributor El out-of-state PAC (to#-.
Amountof In-kind contribution
I
'-d
contribution description (if applicable)
Contributor pcldfieis; City; Z#3 Code
(If travel outside of Texas, complete Schedule T)
Principal occupation Job tie (See Instructions)
Employer (See Instructions)
Date
Full name of contributor El out-of-state PAC (IM.
Amount of In-kind contribution
contribution description (if applicable)
Contributor address; City; State Zi p Code
(if travel ou,-- of —, complete Schedule 1)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor out-of-state PAC
Amount of Ikind contribution
contribution description (if applicable)
Contributor address; Cit y; State; Zit p Code
(if travel o complete Schedule T)
Principal occupation I Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor E:1 out-of-state PAC
Amount of In-kind contribution
contribution description (if applicable)
Contributor address; City; State; Zip Code
(if travel o Wde I—S, complete Schedule T)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
AWACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
I Total pages Schedule F:
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
4 Date5
_:7
00 b
,�
Payee name_,,
Ve
6 Amount
7 Payee address; City; State; Zip Code
8 PURPOSE
Catego (See categories listed at the top of this schedule)
(a) Cate
(b) Description (if travel outside of Texas, complete Schedule T)
OF
DI
EXPENTURE
,11 ��- jr
' �'/ 62, L -)
9 Complete ONLY if direct Candidate t Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee, name
t.
Amount
Payee address; City; State; Zip Code
ot2 C)
ILI
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name X 17
Amount (4;)
Payee address; City; State; Zip Code
PURPOSE
CaVory (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
0
J
I / �'rt e`er
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
/0
Payee name 1'7
Amount
Payee address; City; State; Zip Code
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
42
Complete ONLY if direct Candidate Officeholclerfname Office sought Office held
expenditure to benefit CJOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO.Box 1ZO7O Austin, Texas 78711-207O (512)4}3-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
I Total pages Schedule F:
2 FILER NAME
ACCOUNT # (Ethics Commission Filers)
4 Date -
zle
5 Payee name
0
h
/-I,
6 Amount
7 Payee address; City; State; Zip Code
8 PURPOSE
(a) C (See categories listed at the top of this schedule)
(b) Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
7t;ory,
e4 1,7
9 Complete ONLY if direct Candidate / Officeholder ntame Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount
Payee address; City; State; Zip Code
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
EXPENDITURE
Complete ONLY if direct Candidate / OfficAotder 4me Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount
Payee address; City; State; Zip Code
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
Complete ONLY if direct Candidate Office6older n Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount
Payee address; City; State; Zip Code
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
vmwweth/om.mp»a.mu» Revised o4/19/2O 3